Ota Shinzo, Sekihara Yoshinobu, Himeno Takahiro, Tanaka Yasue, Ohtonari Tatsuya
1 Department of Neurosurgery, Brain Attack Center Ota Memorial Hospital, Hiroshima, Japan.
2 Department of Neurology, Faculty of Medicine, Ooita University, Ooita, Japan.
Interv Neuroradiol. 2017 Feb;23(1):79-83. doi: 10.1177/1591019916677960. Epub 2016 Nov 30.
We performed stent placement under intravascular ultrasound (IVUS), without the use of contrast medium, in a male patient in his 70s who had vertebral artery origin stenosis and decreased renal function. Satisfactory dilatation was achieved without complications, and the patient remained asymptomatic at 2 years of follow-up. We now report the details of this procedure. Stent placement under IVUS guidance may be useful in patients in whom contrast medium is contraindicated.
我们在一名70多岁、患有椎动脉起始部狭窄且肾功能减退的男性患者中，在不使用造影剂的情况下，于血管内超声（IVUS）引导下进行了支架置入术。实现了满意的扩张且无并发症发生，患者在随访2年时仍无症状。我们现报告该手术的详细情况。在IVUS引导下进行支架置入术可能对造影剂禁忌的患者有用。
